| NPI | 1003641556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO ANTONIO DI PASCUALE President 915-261-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2024-09-04 |